Wyckoff, Geoffrey Martin
Wyckoff, Geoffrey Martin is an sole proprietor health care provider with primary practice located at 1082 Taylorsville Rd Suite 105, Washington Crossing PA 18977-1305. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Wyckoff, Geoffrey Martin can be contacted via phone (267) 399-9962.Contact Information
Primary practice address
1082 Taylorsville Rd Suite 105
Washington Crossing PA 18977-1305
Phone: (267) 399-9962
Fax: (267) 392-5236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS007870L | |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PS007870L | Pennsylvania |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 35510065400 | New Jersey |
Profile Details
| NPI number | 1508996331 |
|---|---|
| LBN Legal business name | Wyckoff, Geoffrey Martin |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Sep 20th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508996331 | NPPES |
| Pennsylvania | Other | 001971881 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | 7044367 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | 0236042000 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | 092332000 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | Q63396 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | P1088196 | HIGHMARK BLUE SHIELD |
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